County Borough of Bury. ANNUAL REPORT OF THE Medical Officer of Health FOR THE YEAR 1923. BY G. GRANVILLE BUCKLEY, M.D., D.P.H., Medical OPEfTER of Health, Chief Tuberculosis Officer, Medical Officer to the Education Committee. BURY : Printed at the “Times” Office, Cross Street. 1924, Digitized by the Internet Archive in 2017 with funding from Wellcome Library https://archive.org/details/b28968542 HEALTH CO/A/AITTEE. 1923. Chairman - Councillor JOHNSON. Deputy-Chairman - Councillor JANE TAYLOR. HIS WORSHIP THE MAYOR (Councillor A. Redford) , Alderman ASHWORTH, ,, BRADLEY, ,, COLLINGE, ,, GREENHALGH, ,, HARGREAVES, Councillor HENRY ASHWORTH, „ BATTERSBY, Councillor EVANS, ,, O. S. HALL, ,, R. B. HALL, „ KAY, „ LEPP, ,, PEARSON, ,, PICKLES, ,, SALTER, „ J. SMITH, WILKINSON. Meetings — The Wednesday in each month immediately preceding the lith day before the Council, at 10-0 o.m. t OFFICIALS OF THE HEALTH DEPARTMENT. Inspector of Nuisances, District Inspector of Moorside, East, and part of Redvales Wards, Inspector under Shop Hours' Acts, Inspector under Explosives Act, &^c. : — John Haworth, Cert. R.S.L, Certified Sanitary Engineer, Certified Inspector of Meat and other Food. District Inspector for Church, Elton, and part of Redvales JJ'ards^ Inspector under Canal Boat Acts, &^c. : — Samuel Kay, Cert. R.S.L Smoke Inspector, Inspector of Infectious Diseases, Common Lodging Houses, (5uc. : — Henry Mitchell, Cert. R.S.L Abattoirs Superintendent, Inspector of Meat, and of Dairies, Cowsheds , and Milkshops ; Inspector of Offensive Trades, &^c. : — Harry Walton, Cert. R.S.L, Certified Inspector of Meat and other Foods, and Inspector under the Diseases of Animals Acts. ^ Headth Visitors, Inspectors of Workshops (where Females are employed), Inspectors under Shop Hours' Acts, Inspectors of Midwives, due. : — Nurses S. Pennington, Certified Midwife, B. Greenhalgh, Certified Midwife, E. Webster, Certified Midwife, Cert. R.S.L, and Agnes Hollingworth, Certified Midwife. ^School Visitors: — Lilian H. Rishton, M.I.H., and Minnie E. Taylor, Certified Midwife. Chief Clerk: — P. Wood. Assistant Clerks: — L. Kay and C Prophet. ^Medical Officer of Health: G. Granville Buckley, M.D., Ch.B., D.P.H. "^Assistant Medical Officer of Health: Claude S. Harwood, M.D., B.Sc., D.P.H. Inspector under Food and Drugs Acts : H. C. Cass (Markets Inspector). Borough Analyst :~Tkom AS J. Hutchinson. F.I.C. Veterinary Surgeon : W. Noar, M.R.C.V.S. Veterinary Inspector under Diseases of Animals Acts : W. Packman, M.R.C.V.S. ^Salary Contribution made under Public Health Acts or by Exchequer Grants. 5 Public Health Department, Clough Street, BURY, August, 1924. To the Chairman and Members of the Health Committee. Gentlemen, I have the honour to present to you my 12th Annual Report on the health and sanitary circumstances of your Borough during the year 1923. In a circular issued by the Ministry of Health it has been suggested that Annual Reports of a full and detailed character (to be known as '' Survey Reports) shall only be issued at intervals of not more than five years. In other years Reports of a more simple character (to be referred to as Ordinary Reports) should be issued. The present Report is an '' Ordinary " one, and the next Survey '' Report will be issued in 1925. I regret to report that several of the important Mortality rates for 1923 compare unfavourably with those of the previous year. The general death rate for the Borough was 15.95 per 1,000, com- pared with arate of 14.93 /or 1922, and 11.6 for England and Wales as a whole. Phthisis accounts for 19 more deaths than in 1922, Cancer for 16 and Pneumonia for 43 more. Violent deaths (accident, etc.) numbered 22, compared with 9 in the previous year. The Infant Mortality rate was 101 per 1,000 births, compared with 82 in the previous year, and 69 for England and Wales. The rate (82) for 1922 was the lowest on record for the Borough. Although the actual number of deaths of children under one year was only 10 more than the figure for 1922, the rate was increased by 19 owing to the fact that fewer births took place. The average hifant Mortality rate in Bury for the 10 years 1913 to 1922 was 106. The death rate from Phthisis also shows an increase over that of the previous year (0.94 compared with 0.61). 6 A circumstance whicJij in my opinion, has a direct beatring on the general death-rate and particidarly on the hifant Mortality rate is the continued existence of a large number of sanitary con- veniences of the privy-7nidden type. A census has recently been taken of the sanitary conveniences of various types existing in the Borough, and from this it appears that there are 8,223 fresh water closets. 3,184 waste water closets. 560 pail closets. 4,230 privy closets. Only 444 conversions to the Water Carriage System have been carried out during the past 5 years, and of these 178 have been converted during 1923. At the present rate of progress nearly 30 years will have elapsed before the whole of the sanitary con- veniences have been converted to the Water Carriage System. Privy middens which are in such a condition as to cause a nuisance can be dealt with under the Public Plealth Act, but where no nuisance exists the matter must be dealt with under the Public Health Acts Amendment Act, and in such cases the Corporation must pay the whole cost of conversion in the case of pail closets and half the cost in the case of other types. Under the present system the Cleansing Committee provides a certain number of closet fittings each year {to the value of £500 Ictst year), and these are offered free to property owners who are willing to carry out the conversions. It is urgently necessary that this work should be speeded up, and to that end the Corporation should allocate a certain sum per annum for the purpose so as to make possible within a reasonable time the co)iv\ersion to the IVater Carriage System of all the sanitary conveniences in the Borough. I am, Gentlemen, Yours obediently , G. GRANVILLE BUCKLEY, Medical Officer of Health. 7 Statistical Su/aaary, 1923. Situation — Latitude, 53^ 36' N. ; Longitude, 2^ 18' W. Population (estimated 1923) 57,250 ,, (census 1921) 56,426 Number of Inhabited Houses (census 1911) 13,919 Marriages (Bury) 462 Births ( Males 433 ) I Females ... 433 } Total ... 866 (Illegitimate) Total Males 22 Females ... 24 Annual Rate of Births per 1,000 of the Population Males 446 Deaths -Total 46 15.01 913 Females ... 467 ^ Annual Rate of Mortality per 1,000 of the population 15.95 Excess of Registered Deaths over Births 47 Infant Mortality 101 per 1,000 Births. Area (acres) 5,925 Rateable value ;{^377,448 Sum represented by a penny rate ;£1,340 LEGAL SUMMARY. Statutes in 4orce in the Borough (other than Public General Acts) : — Local Act. Bury Corporation Act, 1909. Acts Confirming Provisional Orders. Local Government Board’s Provisional Orders Conhrmation (No. 17) Act, 1903. (An Act to confirm certain Provi- sional Orders relating to Bury and the Bury and District Joint Hospital Board.) 8 Acts Confirming Provisional Orders (Continued). Local Government Board’s Provisional Orders Confirmation (No. 5) Act, 1911, which confirmed a Provisional Order made by the Local Government Board for the inclusion of Warth Fold within the Borough as from the 9th November, 1911. Local Government Board’s Provisional Orders Confirmation (No. 10} Act, 1914, which confirmed an Order authorising the carrying out of certain street improvements. Local Government Board’s Provisional Orders Confirmation (No. 15) Act, 1912, confirming the Bury (Extension) Financial Adjustments Order, 1912. Local Government Board’s Provisional Orders Confirmation (No. 1) Act, 1913, repealing Section 212 of the Bury Corporation Act, 1909, and the tenth Schedule, and abolishing the special rating districts, or added area differential rating. Local Government Board’s Provisional Orders Confirmation (No. 13) Act, 1914, repealing Section 141 of the Bury Corporation Act, 1909, which prohibited streets being laid out for building purposes exceeding 100 yards in length without an Intersecting street every 100 yards. Tramways Orders Confirmation Act, 1915, authorising the extension of the Bury Tramways to the New Inn, Walmersley, and at Jericho. Acts Adopted. Public Health Acts Amendment Act, 1890. (March 5th, 1891 ; came into operation May 1st, 1891.) Infectious Diseases (Prevention) Act, 1890. (August 2nd, 1900; came into operation October 1st, 1901.) Housing of the Working Classes Act, 1890 — Part HI (Tune 3rd, 1909.) 9 Acts Adopted (Continued). Notification of Births Act, 1907. (March 5th, 1908.) Public Health Acts Amendment Act, 1907. Orders made, declaring- certain Parts and Sections thereof to be in force in the Borough, by the Local Government Board on November 8th, 1909 (came into operation 1st January, 1910), and by the Secretary of State on October 13th, 1909. Acts Constituting Certain Joint Authorities — (i.) as to prevention of pollution of rivers, namely : Local Government Board’s Provisional Orders Confirmation (No. 10) Act, 1891. (Confirming a Provisional Order constituting a Joint Committee, under section 14 of the Local Government Act, 1888, to enforce the provisions of the Rivers Pollution Prevention Act, 1876, in relation to parts of the Rivers Irwell and Mersey) ; (ii.) as to water supply, namely : — Bury and District Water (Transfer) Act, 1900 (constituting the Bury and District Joint Water Board). 10 Causes of, and A^es at Death during the Year 1923. Causes of Death. Nett Deaths at the subjoined Ages of Residents, whether occurring within or without the District. o tl£) c3 O) Td C ^ nd a a u 'Td l=i kO rd a ^ 0 S'^ aS !-i 0 P § ^ “ QJ »o ^ P =3 c3 »o ^ iO a p 02 ® 53 D Sh <73 ^ S ^ C 0) ^ x: a tc ^ to .2 ’E r- -^3 -|J 3 5-1^0! rt O *3 •' ^ to ', -<-3 CO G fl o-=.f= H S P3 •dfi . ^ r Certified . . . All Causes ^ 902 11 88 16 15 1 1 16 27 118 278 6 344 5 1 248 Enteric Fever Smallpox Measles 12 5 2 "5 • • Scarlet Fever 8 1 1 1 2 Whooping Cough 2 1 1 Diphtheria and Croup. . . . • • » « Influenza 37 i » • 1 13 14 8 3 Ervsipelas 1 1 Phthisis (Pulmonary ■■ Tuberculosis) 54 • • 10 25 16 3 6 Tuberculous Meningitis . . 2 1 1 OtherTuberculousDiseases 3 2 1 3 Cancer, Malignant Diseast 85 7 39 39 26 Rheumatic Fever Heart Diseases 131 3 1 8 50 69 61 Bronchitis 118 9 2 5 45 57 20 Pneumonia (all forms) . . 113 13 10 2 4 8 19 38 19 13 Other Diseases of Respira- tory Organs 8 2 , , 1 1 2 2 Diarrhoea and Enteritis . . 4 4 Appendicitis and Typhlitis 1 • • • • • « 1 2 Cirrhosis of Liver 3 9 1 Alcoholism Nephritis and Bright’s Disease 25 * , 8 6 11 6 Puerperal Fever 2 2 1 Other accidents & Diseases of Pregnancy and Partu- rition Congenital Debility and Malformation, including Premature Birth 39 39 1 Violent Deaths, excluding Suicides 22 0 • • 2 2 1 3 7 5 19 Suicides If / • * • • 2 4 1 4 Other Defined Diseases . . 199 4 • • i 6 3 24 59 102 74 Diseases Ill-defined or Unknown 42 7 1 2 32 7 913 88 16 15 16 27 118 284 349 248 11 INFANT MORTALITY, 1923 Nett Deaths from stated causes at various Ages under One Year of Age. CAUSE OF DEATH. Under 1 week. 1 1 1-2 weeks. 1 j 1 ; 2-3 weeks, j I 1 3-4 weeks. Total under 1 month 1 CO -g 3-6 Months. Ii 6-9 Months. 9-12 ! Months, j Total Deaths under 1 year. All Cause. 20 4 13 5 42 10 12 13 11 88 « • Smallpox ; Chicken-pox TkXOEtB lOB ••«••••••••••••••••••• • « • « 4 1 5 Scarlet Fever Whooping Cough Diphtheria Erysipelas Tuberculous Meningitis Abdominal Tuberculosis Other Tuberculous Diseases .... Meningitis (not Tuberculous) .... 1 i Convulsions 2 1 3 2 • • • • 2 7 Laryngitis * , Bronchitis 1 1 1 2 4 1 9 Pneumonia (all forms) i 1 1 3 3 5 13 Diarrhoea 1 1 o 1 4 Enteritis • • Gastritis 1 1 1 Syphilis 1 1 • • 1 Rickets Suffocation, overlying • • i 1 Injury at Birth 1 1 1 Atelectasis 1 1 • * 1 Congenital Malformations 2 2 2 Premature Birth 9 1 7 17 1 • * 1 19 Atrophy, Debility & Marasmus. . . . 1 3 2 6 2 1 2 11 Other Causes 4 1 1 1 7 2 3 • • 12 20 4 13 5 42 10 12 13 11 88 Nfitt, Eirthq in thf- vpar /Legitimate.. 820 JNett mrtns m tne year ^illegitimate.. 46 JNett Deaths in tne yeai ^ illegitimate Infants .. 10 Vital Statistics of Whole District during 1923 and Previous Years. 12 O H O o oH S 2 w S M H CO wP ^ w w W Q ^ H W t/3 •X) bo c« 4-> •X) c« Ph s a:. ‘ G O) be <1 o O ^ c/3 0) O ^ ^ t-H ^ tS 03 pQ ft ^ Ph (U ,• M-i CD -rj O O) 4-5 0455441 H 1 '. ~i ^ ^ rr\ CS CC CQ 0? <1^ ^ «Ph C.2 a « P ® “ . ll «-8 s^SglsS'S -Q a p S-P o t: cs ca cci tJH s as[c P‘43 g o C C/3 ^ Cd ft <1? 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Smallpox Cholera Diphtheria (including Membranous Croup) 56 1 12 33 6 3 1 43 13 40 12 52 Erysipelas 28 1 1 1 7 15 3 23 5 2 1 3 Scarlet Fever 139 1 30 89 16 3 120 19 103 16 119 Typhus Fever Enteric Fever 4 2 1 i 4 4 4 Relapsing Fever .... , , Encephalitis Letharg. 3 , , 1 2 3 Poliomyelitis Ophthalmia Neonatorum. . 6 6 6 Chicken-pox 189 5 68 113 2 1 156 33 Pneumonia 205 5 34 14 28 47 56 21 151 54 Malaria Dysentery Puerperal Fever . . 5 •• 3 3 •• Totals 633 18 145 250 65 66 75 24 509 124 149 29 178 January .. . February.. March April .... May Tune July August .... September October .. November December Number of Cases of Infectious Disease notified in each Month of the Year. Scarlet Fever. Diphtheria & Membran- ous Croup. Enteric Fever. Puerperal Fever. Erysip- elas. Polio- myeli- tis. Chicken- pox. Ophthal- mia Neo- natorum. Encephal- itis L’th’rgica Pneu- monia Malaria. 15 3 • • • 3 19 1 • • • 21 10 9 . . • • • 7 • * • 14 ... 18 6 ] . . . • • « 8 • • • 31 1 1 26 12 1 . . . • • • 15 1 23 11 5 1 . . . 3 . • • ... 1 85 6 7 . . . • • • • • « .... 1 21 13 4 . . 1 1 ... 11 • • • • • • 8 4 7 . . • • • • • 8 • • « • • • 7 13 4 . . • • • 2 ... 18 • • • • • • 7 13 4 3 • • • 3 ... 28 1 1 7 17 3 1 3 .... 82 • • • 16 19 8 • * • ' 1 3 • • • 23 1 16 139 56 4 8 28 • • • 189 6 3 205 V • « 'bOTALS. .. 17 Ward Distribution of Infectious Diseases, 1923. Scarlet Fever. Diphtheria & Membran- ous Croup. Ent- eric Fever. Puer- l)eral Fever. Erysi- pelas. Oph- thal. Neon- ’tor’m. Polio- myeli- tis. Chick- enpox. Pneu- monia Mal- aria. encep- halitis Leth- argica Moorside 38 20 4 1 6 3 45 48 East 36 12 . • • 1 8 . • • • « • 47 38 . • . . • Church 15 7 , • . 1 1 1 . • • 16 27 . • • • • Redvales 36 4 • • « 8 2 • • • 48 38 • • 3 Elton 19 13 • * « 5 33 54 Totals 139 56 4 3 28 6 . . 189 205 3 Cases Removed to the Florence Nightingale Hospital from THE VARIOUS WaRDS. Scarlet Fever. Diphtheria & Membran- ous Croup. Enteric Fever. 1 Continued Puerperal Fever, i Fever. Poliomy- elitis. Erysip- elas. Measles. Moorside 28 19 4 I • • • 1 • • • * • • 2 East 34 10 ! • • • ! • • • ... • • * • • • Church 14 7 • • • . • • Redvales 27 4 • • « • • • • • • Elton 16 12 * • « ... j ... 1 Totals 119 52 4 « . * ... . . 3 VENEREAL DISEASES. On February 3rd, 1920, a Venereal Diseases Clinic was opened at the Tuberculosis Dispensary, The Wylde, Bury. The hours of attendance are : — Tuesdays : 6-30 p.m. to 8-30 p.m. for females. Fridges : 6-30 p.m. to 8-30 p.m. for males. The work is carried out by a medical man with special experience in the work, and free treatment is available for all, whether resident in the Borough or not. The following tables give full particulars of the work carried out at the clinic during the year 1923 : — VENEREAL DISEASES. RETURN relatinjj: to all persons who were treated at the Treatment Centre at Bury during the year ended the 31st December, 1923. Syphilis. Soft Chancre. Gonorrhoea. Males Females Males Females Males Females Males Females Males Females Conditions other than Venereal Total. 1. 2. Number of persona who, on the let January, 1923, were under treat- ment or observation for 128 Number dealt with during the yearj for the first time and found to be suffering from : - j Syphilis only j 45 Soft chancre only j . . Gonorrhcea only . . Syphilis and soft chancre ; . . Syphilis and Gonorrhoea j . . Gonorrhoea and soft chancre . . . . Syphilis, soft chancre and gonorrhoea ! . . Balanitis ! . . Conditions other than venereal! . . 86 Total. — Item 2 45 21 21 Total. — Items 1 and 2 ... . !l73 107 Number of persons who ceased to attend (a) before completing the first course of treatment for 5. 6. (h) after one or more courses but before completion of treatment for (c) after completion of treat- ment, but before final tests as to cure of Number of persons transferred to other Treatment Centres after treatment for Number of persons discharged after completion of treatment and ob- servaTon for Number of persons who, on the 1st January, 1924, were under treat- ment or observation for 16 31 Total. — Items 3, 4, 5, and 6 . . 10 111 173 96 107 53 51 11 51 104 10 2 6 186 97 45 I 21 2 : .. 51 I 10 i 10 21 13 8 5 Non ifiNon K Non y.u. ^V.n. ^ V.D. d06 36 5 i291 I 133 31 3 13 58 104 18 21 1 Bala nitis oNon 'jy.i). 13 8. Out-patients’ attendances : — {a) For individual attention by the Medical Ofiicer (5) For intermediate treatment, e.g. irrigation, dressings, &o Aggregate number of “In-Patient days ” of treatment given to persons who were suffering from 47 31 10 27 179 9 114 291 133 1172 638 47 428 76 27 1674 714 RETURN relating to VENEREAL DISEASES— Continued. For detection of 9 For Wassermann Spirochetes. Gonococci other Reaction. 9. Examinations of Pathological material : — Organisms. (a) Specimens which were examined at, and by the Medical Officer of, the Treatment Centre. • • 97 (h) Specimens from persons attending at the Treatment Centre which were sent for examination to an approved laboratory • • 1 • • 356 STATEMENT showing the services rendered at the Treatment Centre during the year, classified according to the areas in which the patients resided. Name of County or County Borough (or Country in the case of persons residing elsewhere than in England and Wales) to be inserted in these headings. Bury. Lanc’sh’re C.C. Rochdale. 1 Bolton. Manch’str, Cheshire C.C. Total. A. Number of persons from each area dealt with during the year at or in connection with the out-patient Clinic for the first time and found to be suffering from : — Syphilis Soft Chancre 34 1 28 1 3 1 66 2 Gonorrhoea 35 22 1 2 i 61 Balanitis 1 1 2 Gonditions other tbn.n venereal 5 6 11 Total 76 58 4 3 1 142 B. Total number of attendances at the out-patient Clinic of all patients residing in each area 1274 1002 82 22 2 6 • • 2388 C. Aggregate number of “In-patient days” of all patients residing in each area * • • • « . . . • • . • • • . . D. Number of doses of Arsenobenzol compounds given in the : — ' 1. Out-patient Clinic I 2. In-patient Dspt. to j patients residing ini each area 239 197 31 467 E. Give the names orarsenobenzol compounds used in the treatment of syphilis and the usual initial and final doses F. State the amount and kind of treatment usually administered to a case of Syphilis of each of the types usually dealt with at the Treatment Centre. Novarsenobillon, Sulfarsenol, Stabilarson. N.A.B. 0‘45, 0'6, 0-6, 0'6 rest, then stabil- arson 0-6, 0 6, 0-6, 0‘6. In some cases Sulfarsenol is given intra- muscularly, particularly children. G. State the nature of tests applied in deciding as to As in Memo. V^i, but no culture or comple- discharge of patients referred to in Item 5 on ment fixation test is used, previous page 20 OPHTHALM tA NEONATORUM. Six cases of this disease were notified during- the year, all being treated in their own homes. In five instances the vision was unimpaired, and there was one death. TUBERCULOUS DISEASES. Pulmonary Tuberculosis caused 54 deaths, of which 49 had been notified by doctors. The rate of mortality was 0.94 pei 1,000. Five deaths occurred from Non-Pulmonary Tuberculosis, of which all had been notified. Institutional treatment is given to cases of Tuberculosis at the Tuberculosis Dispensary, at the Bury and District Joint Hospital Board’s Institution, the Aitken Sanatorium at Holcombe, near Ramsbottom, the Bury Infirmary, the Manchester and Salford Hospital for Skin Diseases, and the Shropshire Orthopmdic Hospital, Oswestry. The Aitken Sanatorium was opened in August, 1910, and the Bury Tuberculosis Dispensary on October 15th, 1914. The Tuberculosis Dispensary. The Tuberculosis Dispensary is situated in the Wylde, Bury, and was formerly the Prince’s Club. It is situated in the centre of the town quite close to the main tram routes and the railway stations. The building was kindly presented to the town by the Earl of Derby. The two wards contain eight beds each, half of which number are, by arrangement with the Lancashire County Council, for the sole use of patients from outside the Borough. The Out-Patient Department is used by the Lancashire County Council on certain half-days per week, when one of their Tuber- culosis Officers is in attendance. Non-Pulmonary Tuberculosis. An agreement was entered into between the Bury Corporation and the Bury Infirmary in July, 1920, under which cases of Non- Pulmonary Tuberculosis occurring in the Borough are treated at 21 that Institution. Cases have also been treated at the Shropshire Orthopaedic Hospital. Tuberculosis of the Skin. Arrangements were made, at the commencement of the year 1921j with the Manchester and Salford Hospital for Skin Diseases, whereby patients from the Borough suffering from Tuberculosis of the Skin could attend and receive appropriate treatment. Under these arrangements eleven patients have been treated during the year. The following table gives the number of patients treated and the number of patient days in the various institutions : — Dispensary Aitken Sanatorium Bury Infirmary Shropshire Orthopaedic Hospital No. of No. of Patients Days. 29 ... .... 1764 60 ... .... 6040 12 ... .... 892 4 ... .... 506 PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. e a 9- u E 4> O 4> o -♦J CK o a u 4> £ E u Q fO a> £ E o L. o 'u (U a 0) x: b« c 'u 3 •o C O CQ o Z <«■ o u 03 E E 3 a ^ ^ V -4 (h OP 1 1 , 1 1 CSh Ph 1 1 1 1 1 1 i fcc ,^,0 ^ 0 CO r4 ^ M M .2 ^ ^ MM r- cq 27 12 11 Pi P 0 0 0) 0 0 0 Q ® PS — H cj P^ a 1 F-H i 08 zo 0 00 ' 0 oq cq rH H '2 “■ c8 ^ t- rH oq 1 1 ' in ^ ^ vO ? s p 0 10 0 m 10 4^ 0 CO 1 rH P=H iz 0 K z LO 0 lO =d- mJ lO CO rH 1 1 0 1— 1 CO LO 0 LO 00 i>- 1 cq EM 0 to MM ^ 1 *< 1— ( M M a t-H m OLO CO 00 1 rH Pt( CV3 4^ ro 1 0 M H 0 Pm 0 Pi P ;z; pM Pi ■<1 0 OLO 03 4a 03 rH CO rH CM « a ai 10 00 1-H 44>03 CO CO rH Pm 0 Old i-H 4^ 11 ‘^1 1 1 in 0 1 1 1 rH i 4^ rH r-M p lO 1 1 CO 1 i 44> 0 to 1 II II • c/2 : c/2 01 u ‘ 01 CO pj C/) 01 a c CTj C/2 C 01 oj c 0 h-( ClH g3 c 01 Um c 01 [j-l Ph c P W 0 a 0 < £ ;; 1 c p 0 CL PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. 23 5 ct :> K uj Q: K 5 U1 § UJ •J Q. 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CO CO ^ - H^ . oS ‘ ^ ' O S o o u £ ^ o o CO Sh • 05 S 05 C3 O bp o fcH «*H o a ft ■ M 05 e^ ® H^ (1 ^ jg.S'cJ ^ 2 > 4P 05 > (X) 05 P c £ CO S 03 S SJS. L5.a pep! a CO >5 03 C Si 53 G •>- ca >■ Hi •p-' CO Hi G ^ ^ •zi a ^ " CS ^ ^*H H 2 05 p2p 2 a &JD+o> ^ S " ■ ■ o O 2 CO 03 03 f-^+3> Hi ^ 03 S ^ G G O 2- >>o g « Sc-e § goG^ ^ CO o a n ” c £ a! a 53 ^ & S'S S CO 55 ® ^ rH (D 05 00 CO CO CO . • PH • Pi Hi Hi Si i :: a a 03 03 Q, TO .17 05 <35 >;.f: > .t Pi aa G .2 o p>% : 5 -P -P +3 -P 03 a 53 53 O O 413 ra 03 03 a a 03 if cS '(H CP cn fe ^ 03 03 a a ? '73 a DS '73 Hi-JS^ ^ G ^ 05 ^ 05 ft CO eg .pH 'Pi - Hi o II -p oi G CO Si CO CO o <35 .pH ,rH O TO to G 05 • ^H s c G O pH >o >. &H hi pG ^ PMPIhOQ^ hi 05 ::H-i co „ ^ cd Hi a> •;h 7Hi G ^ cS TO CO ^ M CD Hi CO 05 Hi CO 05 o 75 7^ 7 CO ^ O ^ O O K5 05 . CM ND CM •!> CO ft G 0^ O 05 ^ IS f r; O C5i S <35 05 sS: 'G cG 05 05 OPPh u . . 05 . . . . ' » CM • ■ hO • • • •••... K3 .;... ^ • r-H ; ; K) . . . • • . « • rH 4« CC a Q • • rH • ND rH • ♦ • rH r-H ^ • • • • • • (33 "d- tH ND ND • • • • • (>] . • ^ ^ zo . . . ZZJ • rH t-H ' O rH • CM • Id- . . . CC ce o (M CR O •rHOOCMCOCOCMCM'd- ♦ rH rH CO OJ LO rH • LO CD (M O CD CM • • CM (M • NONDOC^OOOaOLOrH CM CO O LO ^ - 'd’KOLOrH ;CMLO • ■ NO Ld- • • [>• I-H «d- CO N-) «d- tH • CO lO K5 (D •CD CO vD CM • ^d* • rH e CQ • rHOt>-OOp-JCD(M(MOO • rH rH rH fO LO • O t-H \D CJ5 CM i • rH ND (M • NOC-CMNOOCOlOlOrH CD CO LO LO CV3 •r-l00O(ML003IPi— li— lOZOCO •rP (30 Ld- K3 NO rH CM rP rH iP •OQvO • O (D CD • rH vO a ^ » CM 'd- «d* <5 CO • CM vO CO LO ' O ^ «d*C75vO'd‘LOT-H • rH NO (M LO COLO'd-'d-CM •rH VO 01 01 X Ov I/O HD OJ K 00 01 X Ov 10 W 4) JO ' ifi u. O o § I TfOCOT*-OOW'-i'-| I OM 0^ ^ '-O 01 vO) n 00 CO I (J^ vO v£) uo v£) 01 1-' CO CO 01 *>. CTi 0 1 CO liO t— I 00 rj- 01 01 l-H 1 X VO 0 Ov Ov X CO 01 _• • • « ■ C/) • a 71 0 4; x: 0 X cii a S 3 1 X 0 03 ; C 3 7) 41 . 0 7) V) • c 0 m (U C/l 0 TJ 0 0 I C oS 171 3 4-J 71 -M 4J 7) ]-> D ^-> a 71 -M 4) 7) 4-> (/) a _> ’l_l u X c 03 < >> X X 71 Q Uh & cu > CL CL H Q < - 0 - '' U 4; JO rs C c - c 3 TABLE III. Table giving particulars of the Conversions carried out during the past five years and the five years previous to 1914. 1923 166 «£> 05 05 CM CD 216 67 26 CD 11 64 1 99 oq c?q u:> CM (X) CO 1 (M 0 rH CM 0 1 0 CG t> rH t-H 1 CO CO rH 1 CO 1— 1 T— 1 CM CO CM GO CM 1 C35 05 10 0 1 10 CG CM (M 1 10 rH rH 1 rH 0 CM 0 CD 0 XO C30 1 CO 1 CM C/) 13 u -M Oj _C c/) V -i-i u> G O o -M u Oh !/) -l-> G O U U) G o lU 'G O u a V5 -M I JG CA 0) a o CA +J 'a -C CA d u 73 73 4; 4-1 G O o 73 G 73 4) 4) CA G • JD JG CA cd CA G jO JG CA d 73 QJ X g: G O Ui 73 4; C4I G ~d 73 rs ’> o u a c/5 G 4J 3 cj 4-> U O a G o 73 CU u d 3 CA o o 73 0) 3 *> o u a CA 4-> 'a GG CA d 0 cx 73 CA c 45 C/) • rD JC CA d »s CA A 0. o r 0^ o H < < U. z < 0^ CM t-H o iH PO o «:a“ to 1 03 vO 00 rH 00 to D O o o- rp vO CM ! o CD cb CM rb cb tb b 'if b b 1 1 ^ CM 03 vO o O to HO 00 rH c-- CM to vO D c- CM HO iro O vO D o tp vO cx> to p a> rH to tb CM CM CO lb o b b b '^a* o O f>- 'd" CD c*- C— ro c>- o to CM to to vO c- O CO o CO rH I-H CO CD t-H 6^ o rb rH CM cb iH b t-H (M to cb to CM to I-H CM vO to CM o o CM o !>• O CM rH tH O o D CO ro CD rH lb rb tb D- rb 03 CM rb rH I-H b b to CD to D o D fH c*- O- CO • C:- o to CD to c-- CM CM rH CM tb tH b b o- f-H 00 D O- ro HO t>- CO ro D C*- o «?f C- 00 I-H o rH CO D vO to to CO I-H to o» rb lb CM rH rb 1-H tb tb CM a> o D D to to 00 *?* c*^ t>- D OO CD CM CM tb iH CM rH •ij" tb 'if CM b b b tH <=a* hO to HO CM vO D CO c- OO o rH to o o (ji D- O OO HO to tH CD cp o o D CO (D ’it t-H tb tb CM rH CM CM CM b CM 00 1-H to rH o o to to 00 O O o t-H CO o rH 05 HO to o- to to to CM CD 'it* cb rH tb lb tb b b tb CM rH to a> CM t-H HO vO CM ro '^f o to O rH to o I-H D o CM o C-- to CM to CD t-H tb CM CM CM rb o CM 'if to *if CD ro o to CO ?H O iH to t-H CO to ro CD CD CM CO to HO I-H o CM «o to CO (D f-H to o CM rb rb it* b cb to b b b ':a* vO O- 05 to to D to to 00 CM rH CM o CO o HO o rp o CO (M O vO to o to CD CM CM rb tb CM (M cb tb CM b tH cb b rH '^f o £>- t> o vO CM CM to to to to CM vO o CM 00 HO to iH O o 'd* CD CO o t-H to (D rH tb rb CM tb CM to tb tb rH b b 05 to CM 03 to 8 CM rH vO o CD o «:f 05 8 CM C:^ cp 00 O CO CM Cp to CM P CM CM tb iH t> CM 'it tH b CM tH 8 CD rH rH C- C2 O to I> CO D to UD CM vO D a> ip o to o «a* CD I-H lb tb rb CM rb rH 'it* rH ib b lb s UO to to «:!* o CM rb vO o o ? tb 05 D to 8 I-H CM CM rb M tb tp cb to CM rH b (M «jf • 8 s c:f to D O O lO HO C- O ro to I-H to o to 8 i> tb 6 CM 1^ tb CM >b I-H o b b b rH 8 CO o HO O CO CM CD 05 1-H o 00 o a> iH o C5 rH rH CM >o CC tb CM rb tb rH CM rH b tb rH b b rH to CO CD 00 LO D HO O O O- t> 8 to 03 00 rH iH rH (J> to to rp to 00 tb rb CM CM CM o rH b p rH D r- o c*- o o to CM CD O vO rH D o t> CD rp tp I-H ip 00 CM CM b" CM CM • o; tH 32 1-3 in' G G March April . May June . 'B August s (D CO <2> O O o c 05 >■ o S OP o